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Application for Employment

Heidelberg University, located in Tiffin, Ohio, offers a strong liberal arts curriculum and professional education programs with the mission of personal, intellectual, and professional development, leading to a life of purpose with distinction. Heidelberg University is an Equal Opportunity Employer / Affirmative Action Employer with a significant commitment to the achievement of excellence and diversity among its faculty, staff, and students.

Position Applying For *

Personal Information

First Name: *

Middle Name:

Last Name: *

Suffix:

Preferred First Name:

Former Last Name(s):

Contact Information

Preferred Telephone: *

Home

Cell

Cell Phone Number:

Home Telephone Number:

Email Address: *

Permanent Address

Street: *

City: *

State/Province:

ZIP/Postal Code: *

Country:

Is your mailing address different than your permanent address? *

Yes

No

Mailing Address

Street: *

City: *

State/Province:

ZIP/Postal Code: *

Country:

Graduate Assistant Information

This form notifies the Graduate Admissions office of your intent to apply for a Graduate Assistant position. Should you have any questions about the graduate admission process or your admission status, please contact Melissa Nye in Graduate Admissions at 419-448-2062 or email mnye@heidelberg.edu.

I understand that prior to being offered a graduate assistant position I must meet all admission requirements for the applied graduate program and be accepted by the program director. The steps for admittance include the following:

Apply for a graduate program and submit all required admissions documents.

Apply for the graduate assistant position via online employment application and submit any required materials.

I understand that to maintain a hired position as a graduate assistant, I must:

be fully matriculated in a master's degree program at Heidelberg University;

be a full time student, maintaining a minimum of nine (9) credits per semester, and a maximum of twelve (12) credits per semester;

maintain at least a 3.0 GPA during each semester of the assistantship;

fulfill twenty hours per week for up to two years.

Applying For

Grad Program

Education Information

School Name

Degree/Cert. Earned

Year

1

2

3

Employment History - Begin with most recent position

Start Date (mm/yy)

End Date (mm/yy)

Employer/Company

Position/Title

Reason for Leaving

1

2

3

Documents

All files must be smaller than 3MB and must be a PDF or a Microsoft Word document (.doc or .docx).

Cover Letter

Resume or CV

References

Supplemental Document 1

Supplemental Document 2

Supplemental Document 3

Other Required Information

Are you legally eligible to work in the United States? *

Yes

No

Are you able to work nights, weekends and/or holidays if required by the position? *

Yes

No

Have you ever been found guilty of a felony or other crime? *

Yes

No

Answering "Yes" does not immediately bar you from employment.

Please explain, including the approximate date of the incident *

Applicant Statement

I certify that all information I have provided in order to apply for and obtain employment with Heidelberg University is true, complete, and correct. I agree and understand that intentional omissions, misstatements, and falsifications will cause forfeiture on my part of all eligibility to any employment with Heidelberg University and may be cause for rejection of this application, removal of my name from consideration, or discharge from service whenever it is discovered. In addition, I give Heidelberg University the right to investigate and verify any information obtained through the application process. Permission is granted and I release from any and all liability any employer, agency or individual assisting Heidelberg University in providing relevant, job related information that will assist in this process. I expressly authorize, without reservation, Heidelberg University, its representatives, members or agents to contact and obtain information from all references (personal and professional), employers, public agencies, licensing authorities and educational institutions and to otherwise verify the accuracy of all information provided by me in this application. I hereby waive any and all rights and claims I may have regarding Heidelberg University, its agents, members or representatives, for seeking, gathering, and using such information and all other persons, corporations, or organizations for furnishing such information about me.

I understand that an offer of employment may be contingent upon the successful completion of a pre-employment background criminal investigation, physical, psychological examination, polygraph, and/or drug and alcohol screen. If employed, I agree to provide proof of identity, relevant licensure or credentials, and authorization for employment in the United States. If I am hired, I understand that any employment relationship with Heidelberg University is of an “at will” nature, which means that I am free to resign at any time and Heidelberg University reserves the same right to terminate my employment at any time. This application does not constitute an agreement or contract for employment for any specified period or definite duration. I understand that all conditions of employment including, but not limited to hours, benefits and salary are subject to change by Heidelberg University at any time. I have read and reviewed the information provided in this application and the above statements. By submitting this application for employment I certify that I understand all parts of it and have answered all questions completely and fully.